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Shalisa Anne Henson, CNM
Advanced Practice Midwife in Centralia, Illinois
NPI 1598914905

Shalisa Anne Henson is an Advanced Practice Midwife based in Centralia, IL. Shalisa Anne Henson practices in Centralia, IL and has the professional credentials of CNM. The NPI Number for Shalisa Anne Henson is 1598914905 and holds a License No. 209007259 (Illinois).

The current practice location address for Shalisa Anne Henson is 430 N Pleasant Ave, Centralia, IL and can be reached out via phone at 618-436-8350.

Location: 430 N Pleasant Ave, Centralia, IL, 62801-3006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598914905
Provider Name
Shalisa Anne Henson
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
430 N Pleasant Ave, Centralia, IL, 62801-3006
Phone Number
618-436-8350
Fax Number
Provider Enumeration Date
09/10/2008
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG2264 01 IL RR GROUP ID
207988001 01 IL MEDICARE PTAN NUMBER
P00651305 01 IL RAILROAD MEDICARE
207988 01 IL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
430 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801-3006
Phone Number
618-436-8350
Fax Number
person
Provider Business Mailing Address Details
Address
430 N Pleasant Ave
City
Centralia
State
Illinois
Zip
62801-3006
Phone Number
618-436-8350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2019040165 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Advanced Practice Midwife
Speciality
-
Taxonomy
367A00000X
License No.
209007259 (Illinois)
Definition
Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
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